[1]邵　锋,吴俊涛,张春旺,等.股骨近端解剖型锁定钢板与股骨近端抗旋髓内钉治疗老年股骨粗隆间骨折疗效比较[J].新乡医学院学报,2018,35(2):122-124.[doi:10.7683/xxyxyxb.2018.02.010]
　SHAO Feng,WU Jun-tao,ZHANG Chun-wang,et al.Comparison of the effect between proximal femoral anatomic locking plate and proximal femoral nail anti-rotation in the treatment of elderly patients with intertrochanteric fracture[J].Journal of Xinxiang Medical University,2018,35(2):122-124.[doi:10.7683/xxyxyxb.2018.02.010]
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股骨近端解剖型锁定钢板与股骨近端抗旋髓内钉治疗老年股骨粗隆间骨折疗效比较
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
35
期数:
2018年2
页码:
122-124
栏目:
临床研究
出版日期:
2018-02-05

文章信息/Info

Title:
Comparison of the effect between proximal femoral anatomic locking plate and proximal femoral nail anti-rotation in the treatment of elderly patients with intertrochanteric fracture
作者:
邵　锋; 吴俊涛; 张春旺; 卢绪章
（新乡医学院第三附属医院骨科，河南　新乡　453003）
Author(s):
SHAO Feng; WU Jun-tao; ZHANG Chun-wang; LU Xu-zhang
（Department of Osteology，the Third Affiliated Hospital of Xinxiang Medical University，Xinxiang 453003，Henan Province，China）
关键词:
股骨近端抗旋髓内钉; 股骨近端解剖型锁定钢板; 股骨粗隆间骨折
Keywords:
proximal femoral nail anti-rotation; proximal femoral anatomic locking plate; intertrochanteric fracture
分类号:
R683.42
DOI:
10.7683/xxyxyxb.2018.02.010
文献标志码:
A
摘要:
目的　比较股骨近端解剖型锁定钢板（ALP）与股骨近端抗旋髓内钉（PFNA）治疗老年股骨粗隆间骨折的临床疗效。方法　选取2014年1月至2017年5月新乡医学院第三附属医院收治的老年股骨粗隆间骨折患者89例，根据内固定物分为ALP组（n=43）和PFNA组（n=46），ALP组患者给予ALP治疗，PFNA组患者给予PFNA治疗，对2组患者的治疗效果进行比较。结果　PFNA组患者切口长度、手术时间及住院时间显著短于ALP组（P<0.05），术中出血量、术后引流量显著少于ALP组（P<0.05）。PFNA组和ALP组患者治疗效果优良率分别为86.96%（40/46）、67.44%（29/43），PFNA组患者治疗效果优良率显著高于ALP组（χ2=4.858，P<0.05）。PFNA组和ALP组患者并发症发生率分别为6.52%（3/46）、20.93%（9/43），PFNA组患者并发症发生率显著低于ALP组（χ2=3.955，P<0.05）。结论　PFNA和ALP治疗老年股骨粗隆间骨折均有确切疗效，与ALP相比，PFNA内固定具有手术创伤小、手术时间短、术中出血量少、术后康复快、并发症少等优点。
Abstract:
Objective　To compare the clinical effect between proximal femoral anatomic locking plate （ALP） and proximal femoral nail anti-rotation （PFNA） in the treatment of elderly patients with intertrochanteric fracture.Methods　A total of 89 elderly patients with intertrochanteric fracture were selected from January 2014 to May 2017 in the Third Affiliated Hospital of Xinxiang Medical University.The patients were divided into ALP group （n=43） and PFNA group （n=46） according to the internal fixation，the patients in ALP group were treated with ALP，and the patients in PFNA group were treated with PFNA.The effect was compared between the two groups.Results　The incision length，operation time and hospitalization time in the PFNA group were significantly shorter than those in the ALP group（P<0.05），and the intraoperative blood loss and postoperative drainage volume in PFNA group were significantly less than those in ALP group （P<0.05）.The fineness rate in PFNA group and ALP group was 86.96% （40/46） and 67.44% （29/43） respectively，and the fineness rate in PFNA group was significantly higher than that in ALP group （χ2=4.858，P<0.05）.The incidence of complications in PFNA group and ALP group was 6.52% （3/46） and 20.93% （9/43） respectively，and the incidence of complications in PFNA group was significantly lower than that in ALP group （χ2=3.955，P<0.05）.Conclusion　The effect of PFNA and ALP in the treatment of elderly patients with intertrochanteric fractures was affirmatory.Compared with ALP，PFNA internal fixation has the advantages of less surgical trauma，short operation time，less intraoperative bleeding，quick postoperative recovery and fewer complications.

参考文献/References:

［1］　DASH S K，PANIGRAHI R，PALO N，et al.Fragility hip fractures in elderly patients in Bhubaneswar，India（2012-2014）： a prospective multicenter study of 1 031 elderly patients［J］.Geriatr Orthop Surg Rehabil，2015，6（1）：11-15.

更新日期/Last Update: 2018-02-05